Provider Demographics
NPI:1457545949
Name:GATTO, MICHAEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:GATTO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1180 N INDIAN CANYON DR
Mailing Address - Street 2:SUITE E311
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4800
Mailing Address - Country:US
Mailing Address - Phone:760-323-4735
Mailing Address - Fax:760-323-1167
Practice Address - Street 1:1180 N INDIAN CANYON DR
Practice Address - Street 2:SUITE E311
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4800
Practice Address - Country:US
Practice Address - Phone:760-323-4735
Practice Address - Fax:760-323-1167
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2020-04-09
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Provider Licenses
StateLicense IDTaxonomies
CAG35026207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46187Medicare UPIN
CA00G350260Medicare PIN